51087 22164 1 McClellan Road LOT NO 31
NO STREET
Vs 'M QC�ON FOR PLUMBING PERMIT
I CITY OP CUPERTINO
ISI/'aESep` .� 5 Sanity r}• vin.
Q w
0 '
Date 196— Permit No .f10 8"
a
w o CITY OF CUPF�T!��0 Fee S
x
Application is here y made to the City of Cupertino for a permit to install plumbing
Oa pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
> . and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
w x
� r
a Use of Premises RP,-,! (lenCP.
J
O0 O
, 3 OwneEKranklin—Bahl Const, AddressP•O.Box 911, Campbell
oa
zJ
o By Central ServiceCo. TnCAddressL51 Queens Lane , J.
3 o CONTRACTOR, AGP.NT
— W Phone 298-0556
w z
w w
a o State License h�.�n Approved
WILLIAM D. BENEVICH
U PLUMBING INSPECTOR
FIXTURES
UNITS FEES UNITS FEES
Water lieate I oo Size L/ =200
Water Closes 2 7-en Material C�
Bath Tubs j wv To Curb
Showers jo p To Prop. Line
Lavatories oZ To Existing
Kitchen Sinks ( t o Not Conn.
Dish Washers Sewer Boxes
Waste Disposals
Wash Trays STORM DRAINAGE
Washing Machines e J Size
Water Softeners Material
Bar Sinks To Main Drain
Comb. Sink s Trays To Curb
Dental Units
Drinking Fountains
Floor Drains WATER SYSTEM
Hoppers Size / n
Restaurant Sinks Material q.-
San Traps TOTAL FEES
Urinals Fixture Fee of
Area Drains Main Drain Fee o V
eater Leaders Storm Drain Fee —
5prinkler Valves Water Sys. Fee p p
Permit Fee a
TOTAL f b TOTAL FEE
RECORD OF INSPECTION
Underground Rough
Partial Rough
Rough. Complete
Main Drain
Final